The voters of Fayette County have spoken, and they've said that they don’t need a hospital in this rural community of 25,000 people, one hour southeast of Austin—or at least not enough to pay for it. In a landslide vote Thursday night, county residents overwhelmingly rejected a proposition to create a taxing district for St. Mark's Medical Center in La Grange, which would have kept the deeply indebted hospital open for the foreseeable future.